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LONG-TERM FOLLOW-UP OF A PATIENT SINCE THE ACUTE PHASE OF CHAGAS DISEASE (SOUTH AMERICAN TRYPANOSOMIASIS): FURTHER TREATMENT AND CURE OF THE INFECTION
Affilliation
Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brasil / Fundação Oswaldo Cruz. Posto Avançado de Estudos Emmanuel Dias. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Abstract
A woman had been followed since 1957 for acute phase Chagas disease. Parasitological and serological tests were positive,
and treatment included benznidazole in 1974. Following treatment, parasitological test results were negative and conventional
serology remained positive until 1994, with subsequent discordant results (1995-1997). The results became consistently
negative since 1999. She had an indeterminate chronic form until 1974. Only two minor and transitory nonspecifi c alterations
on electrocardiogram were noted, with the last nine records normal until June 2014. This case confi rms the possibility of curing
chronic disease and suggests the benefi t of specifi c treatments for preventing long-term morbidity.
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